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Öğe Cigarette use frequency and the affecting factors in primary and high school students in Diyarbakir(Turkish Assoc Tuberculosis & Thorax, 2009) Palanci, Yilmaz; Saka, Gunay; Tanrikulu, Abdullah Cetin; Acemoglu, HamitCigarette, alcohol and substance use is a worldwide threat which especially affects young people and a preventable public health problem. Aim of the study is to investigate the prevalence of substance use and the factors affecting this prevalence among the students of primary and high school students in Diyarbakir. 62% of the students were males, and 38% were females. The age range was from 11 to 20 and the mean age was 15.2 + 2.0. The smoking prevalence was a total of 14.8% (6.0% in females and 20.2% in males), 5.8% in primary school students, 23.7% in high school students. The mean first-smoking age was found as 12.6 + 2.3 years. Smoking were more common among male students than girls. Close friends and teachers were source of imitation to smoke cigarettes. Other associated factors were age, buying cigarettes from the corner shops for parents, usage of other addictive substances. Cigarette use among students attending to schools in Diyarbakir is significant health problem and preventive interventions should be employed without delay. Interventions which will be implemented in this context not only should comprise the young, but also the all society. Families, teachers and primary school students are the groups which are of priority for intervention. The law about cigarette smoking should be fully enforced.Öğe A Clinical, Radiographic and Laboratory Evaluation of Prognostic Factors in 363 Patients with Malignant Pleural Mesothelioma(Karger, 2010) Tanrikulu, Abdullah Cetin; Abakay, Abdurrahman; Kaplan, Mehmet Ali; Kucukoner, Mehmet; Palanci, Yilmaz; Evliyaoglu, Osman; Sezgi, CengizhanBackground: Malignant pleural mesothelioma (MPM) has a poor prognosis. Objectives: Only few studies in literature investigated the presence of pleural fluid and radiographic findings for the prognosis of MPM. Methods: We retrospectively investigated the hospital charts of 363 MPM patients who were diagnosed from January 1989 to March 2010. Survival time was calculated by the Kaplan-Meier method. Pretreatment clinical, laboratory and radiographic features of each patient at the time of diagnosis were obtained from patients' charts. Results: The mean age of 363 patients (217 men, 146 women) was 50.6 +/- 11.2 years (range 19-85) and the mean survival time was 11.7 +/- 8.6 months (range 1-53). Histological types of MPM were epithelial (71.2%), mixed (15.9%) and sarcomatous type (4.9%). The frequency of disease stages were 31.4% for stage 1, 24.2% for stage 2, 28.6% for stage 3 and 15.8% for stage 4. The most frequent symptoms were dyspnea (82.1%), chest pain (68.3%) and weight loss (58.9%). Results of univariate and multivariate analyses revealed that a Karnofsky performance score <= 60, a pleural fluid glucose level <= 40 mg/dl, a C-reactive protein level > 50 mg/l, a serum lactate dehydrogenase level > 500 U/l, the presence of pleural fluid, pleural thickening > 1 cm and a platelet count of > 420 x 10(3)/mu l were found to be associated with poor prognosis in MPM. Conclusions: Our data suggest that low pleural fluid glucose and high C-reactive protein, the presence of pleural fluid and pleural thickening were associated with poor MPM prognosis. Further prospective studies are needed to highlight prognostic factors more clearly. Copyright (C) 2010 S. Karger AG, BaselÖğe Coenzyme Q10, Copper, Zinc, and Lipid Peroxidation Levels in Serum of Patients with Chronic Obstructive Pulmonary Disease(Humana Press Inc, 2011) Tanrikulu, Abdullah Cetin; Abakay, Abdurrahman; Evliyaoglu, Osman; Palanci, YilmazSeverity of chronic obstructive pulmonary disease (COPD) exacerbation is associated with increased level of copper (Cu), zinc (Zn), and lipid peroxidation (malodialdehyde, MDA). The aim of this study was to investigate the levels of lipid peroxidation, Coenzyme Q10 (CoQ10), Zn, and Cu in the COPD exacerbations. Forty-five patients with COPD acute exacerbation and 45 healthy smokers as control group were used in the study. Forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC) were lower in exacerbation group than in control. C- reactive protein levels, white blood cell count, and sedimentation rate were significantly (p < 0.001) higher in patients than in control. CoQ10 level and Cu/Zn ratio was significantly (p < 0.05) lower in patients than in control, although MDA, Cu, and Zn levels were significantly (p < 0.05) higher in patients than in control. Negative correlations were found among MDA, Cu, Zn, FEV1, and FVC values in exacerbation and control subjects (p < 0.05). In conclusion, we observed that oxidative stress in the exacerbation period of COPD patients was increased. The decrease in CoQ10 level and Cu/Zn ratio and elevation in Cu and Zn levels observed in the patients probably result from the defense response of organism and are mediated by inflammatory-like substances.Öğe Course anomalies of extracranial internal carotid artery and their relationship with pharyngeal wall: an evaluation with multislice CT(Springer France, 2012) Ekici, Faysal; Tekbas, Guven; Onder, Hakan; Gumus, Hatice; Cetincakmak, Mehmet Guli; Palanci, Yilmaz; Bakir, SalihThe goal of our study was to measure the prevalence of anomalies in the extracranial segment of internal carotid artery (ICA), to measure the carotid-pharyngeal distance (CPD). Computed tomography (CT) angiography images of 607 patients were retrospectively examined. The course anomaly and CPD were obtained at different image plane. The patients were divided into four groups according to their age. The incidence of course anomaly in ICA was shown to be 60.3 %. Prevalence of course anomaly showed an increase with age (p < 0.001). Women had more ICAs with a course anomaly than men (p < 0.001). Mean CPD among all ICAs was found to be 11.13 mm. When CPD values were compared between the groups, group 1 and group 2 did not have a significant difference, however, there was a significant difference between other groups (p < 0.05). The CPD significantly decreased with age (p < 0.001). In ICAs that showed a straight course, the mean CPD was 13.0 mm, while in ICAs that showed course anomaly, the mean CPD was determined to be 9.49, showing a significant difference (p < 0.05). In conclusion, the number of ICAs that show a course anomaly increases with age, while the CPD decreases. The CPD is decreased in groups that show anomalies. The detection of a decreased CPD before surgery may lower the chance of a perioperative hemorrhage due to artery damage during pharyngeal procedures. Hence, while reporting neck CT angiographies, it may be valuable to also report the presence of ICA anomalies and CPD.Öğe Critical evaluation of antimicrobial use - A Turkish university hospital example(J Infection Developing Countries, 2013) Hosoglu, Salih; Parlak, Zafer; Geyik, Mehmet Faruk; Palanci, YilmazIntroduction: Antimicrobials are being used unnecessarily for different reasons. The aims of this study were: assessment of the quality of antimicrobial use and determination of the factors related to correct use. Method: Antimicrobial practice at Dicle University Hospital (DUH) was evaluated with a point prevalence approach. Using a standardized data collection form, the patients' data (clinic, epidemiology, laboratory and antimicrobial use) was collected. Possible influential factors on antimicrobial use were examined. Results: In the surveillance study 1,350 inpatients were evaluated; 461 (34.1%) of them were using antimicrobials for treatment and 187 (13.9%) for prophylaxis. Antimicrobial indication was found in 355 of 461 patients (77.0%), and the number of antimicrobials was 1.8 per patient in the treatment group. The most common reason for antimicrobial use was community-acquired infection (57.9%). Pneumonia (20.4%), skin and soft tissue infections (9.11%) and urinary tract infections (7.9%) were the most common infectious diseases. Positive culture results were available for 39 patients (8.5.0%) when antimicrobial treatment started. All steps of antimicrobial use were found appropriate in 243 patients (52.7%). In multivariate analyses, clinical manifestation of infection at the beginning (p<0.001), presence of leukocyte counting (p<0.001) and prescription by an infectious disease specialist were found significantly positive factors for wholly appropriate antimicrobial use. Hospitalization with a diagnosis other than infection was found a significantly negative factor for appropriate antimicrobial use (p=0.001). Conclusion: The quality of antimicrobial use could be improved with better clinical and laboratory diagnosis and consultation with infectious diseases specialistsÖğe Deep neck space infections: a retrospective review of 173 cases(W B Saunders Co-Elsevier Inc, 2012) Bakir, Salih; Tanriverdi, M. Halis; Gun, Ramazan; Yorgancilar, A. Ediz; Yildirim, Muzeyyen; Tekbas, Guven; Palanci, YilmazPurpose: The purpose of this study is to review our recent experience with deep neck infections and emphasize the importance of radiologic evaluation and appropriate treatment selection in those patients. Materials and Methods: The records of 173 patients treated for deep neck infection at the Department of Otolaryngology and Head and Neck Surgery of Dicle University Hospital during the period from 2003 to 2010 were retrospectively reviewed. Their demography, symptoms, etiology, seasonal distribution, bacteriology, radiology, site of deep neck infection, durations of the hospital admission and hospital stay, treatment, complications, and outcomes were evaluated. The findings were compared to those in the available literature. Results: Dental infection was the most common cause of deep neck infection (48.6%). Peritonsillar infections (19.7%) and tuberculosis (6.9%) were the other most common cause. Pain, odynophagia, dysphagia, and fever were the most common presenting symptoms. Radiologic evaluation was performed on almost all of the patients (98.3%) to identify the location, extent, and character (cellulitis or abscesses) of the infections. Computed tomography was performed in 85.3% of patients. The most common involved site was the submandibular space (26.1%). In 29.5% of cases, the infection involved more than one space. All the patients were taken to intravenous antibiotic therapy. Surgical intervention was required in 95 patients (59.5%), whereas 78 patients (40.5%) were treated with intravenous antibiotic therapy alone. Life-threatening complications were developed in 13.8% of cases; 170 patients (98.3%) were discharged in stable condition. Conclusion: Despite the wide use of antibiotics, deep neck space infections are commonly seen. Today, complications of deep neck infections are often life threatening. Although surgical drainage remains the main method of treating deep neck abscesses, conservative medical treatment are effective in selective cases. (C) 2012 Elsevier Inc. All rights reserved.Öğe Effects of enuresis nocturna on parents of affected children: Case-control study(Wiley, 2014) Tanriverdi, Mehmet Halis; Palanci, Yilmaz; Yilmaz, Ahmet; Penbegül, Necmettin; Bez, Yasin; Daggulli, MansurBackgroundEnuresis nocturna (EN) is a chronic medical disorder that may cause a parent to question their parenting ability and contribute to an inability to perform the parental role. The aim of the study was to investigate the effects of EN on the relationship between parents, and the effect of mood changes in the couples on the children. MethodsForty children with EN (group 1) were enrolled in the study, and 44 consecutive healthy children (group 2) were randomly selected from the same school. The clinical diagnosis for the patient group was based on a careful history. Spielberg's State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and Dyadic Adjustment Scale (DAS) were applied to all parents, and the answers were recorded. ResultsSTAI scores differed between the mothers in the two groups in terms of trait anxiety, while significant differences between the fathers in terms of both state and trait anxiety were observed. The BDI scores were similar between the two groups. The scores of dyadic consensus were lower in the mothers, while the affectional expression scores were lower in the EN study group fathers compared with controls. The total DAS scores were significantly lower in the parents of the children with EN. ConclusionThe parents of children with EN seem to experience increased levels of anxiety. Their desire to continue the marital relationship, the overall quality of their marital relationship and their comfort as a family may also be negatively affected by having a child with EN.Öğe The effects of nosocomial rotavirus gastroenteritis on the length of hospital stay and cost(J Infection Developing Countries, 2016) Gundeslioglu, Ozlem O.; Tekin, Recep; Cevik, Saliha; Palanci, Yilmaz; Yazicioglu, AtillaIntroduction: In this study, the goal was to evaluate the impact of nosocomial rotavirus gastroenteritis in pediatric patients by determining the incidence of nosocomial rotavirus gastroenteritis, the resulting duration of hospital stay, and direct cost. To our knowledge, this is the first study in Turkey that evaluates the impact of pediatric nosocomial rotavirus gastroenteritis on duration of hospital stay and calculates the direct cost. Methodology: Forty-nine patients who were diagnosed with nosocomial rotavirus gastroenteritis and hospitalized were included in the study. Nosocomial infection rates, organ systems affected by the nosocomial infections, and patients who had nosocomial rotavirus gastroenteritis were identified. A direct cost analysis of patients who were diagnosed with nosocomial rotavirus gastroenteritis was performed using copies of the invoices for the hospital bills. Results: During the study period, there were 49 cases of nosocomial rotavirus gastroenteritis. The length of hospitalization was extended, on average, by more than 6.3 days in cases of nosocomial rotavirus gastroenteritis. The cost of hospitalization for patients with nosocomial rotavirus gastroenteritis was on average 1,554 +/- 2,067 US dollars, compared to a cost of only 244 +/- 103 US dollars for patients who did not have nosocomial rotavirus gastroenteritis. This difference in cost was statistically significant (p < 0.05). Conclusions: Nosocomial rotavirus gastroenteritis is important because it significantly prolongs hospital stay and increases the social and economic burden of the hospitalization. Nosocomial rotavirus gastroenteritis can be reduced with prevention measures such as handwashing, isolation, and cohorting.Öğe Evaluation of demographic, clinic and treatment features of patients and a cross-sectional survey of cyclosporiasis in patients with diarrhea in Southeastern Turkey(Academic Journals, 2012) Cicek, Mutalip; Palanci, Yilmaz; Ceylan, Ali; Ozekinci, Tuncer; Kaya, MuhsinIn this research, we aimed at reporting the results of a cross-sectional epidemiological scanning performed on an outbreak of cyclosporiasis, occurring in a family and patients' socio-demographic epidemiological, clinical, diagnostic and therapeutic features, after detecting Cyclospora oocysts on stool sample of a person admitted to gastroenterology polyclinic. Scanning was performed in the neighborhood of the patient. The investigation group consisted of 75 individuals with diarrheal occurring from neighbor and family of patients. A questionnaire was performed for information on epicrisis of diarrheal persons and the samples were collected in stool containers. The samples were examined with native-lugol, sedimentation and modified acid fast staining methods. The stools were cultured in Salmonella-Shigella agar medium to investigate their bacteriological properties. The different vegetables from the mobile market place (peddler) founded in the neighborhood and water samples from house were collected to detect the infection source. Parasitosis (single or mix parasite) were encountered in 20 out of 75 persons in the examined samples (26.6%) and C. oocysts were detected in 13 out of 75 persons (17.3%). Out of the total number of patients having cyclosporiasis, none has immunodeficiency and chronic diseases. All cases were determined in the month of July. Oocysts were detected in six different families. Bacteria were not cultivated in stool cultures and occult blood was negative. The agent was not encountered in green vegetables, though water samples were examined to detect infection resource. Examination of the samples for Cyclospora was not neglected in diarrhea individuals; as such an examination was performed for the source of transmission of the infection. Cyclospora may generate family infection in individuals and if detected in one individual of a family, all the family individuals were examined for this infection.Öğe Evaluation of risk factors affecting hospital-acquired infections in the neurosurgery intensive care unit(Informa Healthcare, 2014) Gocmez, Cuneyt; Celik, Feyzi; Tekin, Recep; Kamasak, Kagan; Turan, Yahya; Palanci, Yilmaz; Bozkurt, FatmaThe aim of the present study was to identify nosocomial infections (NIs), and their associated risk factors, in patients treated in the neurosurgery intensive care unit (NICU) of our hospital. Patients determined to have NIs between January 2008 and December 2012 were included in the study. Each patient's age, gender, microbiological culture results, underlying conditions, type of NIs, device utilization, total parenteral nutrition, reason for hospitalization, Glasgow score, and treatment were recorded and evaluated using statistical analysis. Risk factors for NIs were analyzed with a logistic regression model. During the five-year period, 60 NI episodes were detected in 56 out of 1643 patients. The mean age of the patient population was 33.3 (1-79) years. Of the patients, 22 were female and 34 were male. The overall incidence rate (NIs/100) and incidence density (NIs /1000 days of stay) of NIs were 3.65% and 6.5/1000 patient days, respectively. Regardless of the year of surveillance, the three most commonly detected NIs were bloodstream infection, shunt infection, and ventilator-associated pneumonia. No statistically significant difference was detected between infected and uninfected patients in terms of sex, age, blood transfusions, or mannitol and steroid use (p >= 0.05). In the present study, Glasgow scores, the frequency of prior usage of broad-spectrum antibiotics, and NICU stay durations were significantly higher among patients with infections (p < 0.001). Univariate analysis demonstrated that a low Glasgow score, re-operation, and use of mechanical ventilation were risk factors for NIs. We identified low Glasgow coma scores, long hospital stay duration, use of wide spectrum antibiotics, mechanical ventilation, total parenteral nutrition, and re-operation as risk factors for NIs.Öğe Factors influencing insulin usage among type 2 diabetes mellitus patients: A study in Turkish primary care(Taylor & Francis Ltd, 2016) Yilmaz, Ahmet; Ak, Muharrem; Cim, Abdullah; Palanci, Yilmaz; Kilinc, FarukBackground: DM (diabetes mellitus) patients with poorly regulated blood glucose levels are at risk of increased morbidity and mortality. There are different factors that cause resistance to the initiation of insulin therapy such as beliefs and perceptions concerning diabetes and its treatment and the nature and consequences of insulin therapy. Objectives: We aimed to explore the reasons for this reluctance and how these obstacles could be overcome so that DM patients who require insulin could initiate therapy. Methods: This was a cross-sectional, descriptive study of diabetic patients with glycated haemoglobin A(1c) (HbA(1C)) levels above 7.0%, who were followed-up at a primary care and endocrinology outpatient clinic. Results: Ninety-four patients (57.4% females, 42.6% males) were recruited for this study. Most patients (57.4%) considered that insulin was a drug of last resort. Among all patients, 34.1% thought that insulin lowered blood glucose levels to an extreme degree and 14.9% disagreed. The patients thought that self-injection was hard (27.6%), required someone else to administer the injection (27.6%), insulin injection was painful (33.0%). 59.6% of all patients believed that their religion did not restrict the use of insulin, 52.1% stated that their family physicians had sufficiently informed them. Conclusion: Our most significant finding is that a lack of adequate information relating to insulin appears to be the major factor behind DM patients' refusal of insulin treatment. The fact that patients consider insulin treatment as a final solution to DM could be related to resistance to the initiation of insulin therapy.Öğe Neutrophil-to-Lymphocyte Ratio in the Prediction of Microscopic Colitis(Derman Medical Publ, 2015) Ucmak, Feyzullah; Yilmaz, Ahmet; Ekin, Nazim; Tuncer, Elif Tugba; Firat, Ugur; Palanci, YilmazAim: The aim of this study was to investigate the importance of the neutrophil-to-lymphocyte ratio (NLR) in predicting microscopic colitis (MC) in patients with diarrhea-dominant type irritable bowel syndrome (IBS-D). Material and Method: Between January 1, 2010 and December 31, 2012, 49 patients who fulfilled the Roma III criteria for IBS-D were included in the study. All patients had underwent colonoscopy and colonoscopic biopsy (cecum, ascending, transverse, descending and rectosigmoid sections) to diagnose MC (25 patients with MC). Complete blood count parameters were evaluated in the two groups (IBS-D and MC) using standard methodology. Results: The patients were evaluated in two groups: MC and IBS-D. The groups were similar with respect to age, gender and presence of hypertension. The NLO was significantly higher in the MC group compared to the IBS-D group (2.48 +/- 0.99, 1.92 +/- 0.84; p=0.041, respectively). A cut-off value of 1.86 had a sensitivity of 76% and spesificity of 55% in predicting MC in patients with symptoms of IBS-D. Discussion: A significant association was found between the presence of MC in patients with IBS-D and increased NLR. The NLR may be a useful marker in predicting MC in patients with symptoms of IBS-D.Öğe Occupational skin diseases in automotive industry workers(Taylor & Francis Ltd, 2014) Yakut, Yunus; Ucmak, Derya; Akkurt, Zeynep Meltem; Akdeniz, Sedat; Palanci, Yilmaz; Sula, BilalAim: To investigate the prevalence of occupational skin diseases in workers of the automotive industry. Materials and methods: Between September and December 2011, a total of 405 workers from the automotive repair industry in Diyarbakir were interviewed. They were active workers in the repair industry who had been employed for at least six months. Business owners, sellers of spare parts and accounting officers were not included. The employees were examined at their workplaces and the working conditions were observed. Detailed dermatological examination was performed. Results: The mean age of the 405 workers who participated in the study was 27.7 +/- 10.3. The mean working time of employees was 13.3 +/- 10.4 years. All of the employees were male. Dermatological diseases were not detected in 144 out of 405 workers (35.6%) and at least one condition was diagnosed in 261 (64.4%). The most frequent diagnosis was callus, hyperkeratosis, clavus (27.7%), followed by nail changes (16.8%) and superficial mycoses (12.1%). Contact dermatitis was seen at a rate of 5.9%. Discussion: Traumatic lesions such as hyperkeratotic lesions and nail changes were found most frequently. Traumatic lesions were common among individuals who did not use gloves. Most nail changes were localized leuconychia, a finding not reported in the studies on automotive industry workers. In accordance with the literature, irritant contact dermatitis was observed in patients with a history of atopy and who had been working for a long time. Conclusion: Occupational skin diseases comprise an important field in dermatology, deserving much attention. Further studies on occupational dermatology are necessary.Öğe Percutaneous Endoscopic Gastrostomy: Mortality and Risk Factors for Survival(Elmer Press Inc, 2012) Onder, Akin; Kapan, Murat; Arikanoglu, Zulfu; Gul, Mesut; Bestas, Remzi; Palanci, Yilmaz; Karaman, HaktanBackground: The present study evaluated long-term risk factors for survival in patients who have undergone Percutaneous endoscopic Gastrostomy, as well as morbidity and mortality rates. Methods: The retrospective study included 44 patients who underwent placement of a percutaneous endoscopic gastrostomy tube at various departments at Dicle University Medical Faculty between April 2008-September 2010. Results: The study evaluated 23 women (52.3%) and 21 men (47.7%), with a median age of 50 +/- 20 (17 - 87) years. Median time for Percutaneous endoscopic Gastrostomy placement was 23 +/- 8.3 (5 - 45) minutes per patient. Total morbidity was 15.9%, including wound infection (4), tube occlusion (1), peristomal leakage (1), and abdominal wall bleeding (1). Short-term complications were not associated with albumin level (P = 0.312). The median hospital stay was 49.34 +/- 60.99 (1 - 314) days. The mean follow-up period was 13.07 +/- 13.12 (1 - 41) months. The above-normal level of albumin was found to be effective on survival (P = 0.024). Mortality occurred in 18 (40.9%) patients during the follow-up. Conclusions: Percutaneous endoscopic Gastrostomy is both safe and effective in that it does not require surgical operation and it can be performed under surface anesthesia. The serum albumin level with patients who have undergone percutaneous endoscopic gastrostomyis an effective factor for survival.Öğe Pilonidal Sinus Disease: Risk Factors for Postoperative Complications and Recurrence(Int College Of Surgeons, 2012) Onder, Akin; Girgin, Sadullah; Kapan, Murat; Toker, Mehmet; Arikanoglu, Zulfu; Palanci, Yilmaz; Bac, BilselThe aim of this study is to analyze the risk factors for complications and recurrence in pilonidal sinus disease. The prospective study consisted of 144 patients with pilonidal sinus disease who were operated on at Dicle University Medical Faculty, Department of General Surgery, between February 2008 and December 2010. Patients receiving the Limberg flap totaled 106 (73.6%), while 38 (26.4%) had primary closure. Postoperative complications developed in 42 subjects (29.2%), and recurrence occurred in 19 (13.2%). The Limberg flap method was statistically considered as a risk factor for postoperative complications (P = 0.039). Regarding recurrence, family tendency (P = 0.011), sinus number (P = 0.005), cavity diameter (P = 0.002), and primary closure (P = 0.001) were found to be risk factors. Postoperative complication rate is higher in the Limberg flap method than primary closure method. The risk of recurrence is related to family tendency, sinus number, cavity diameter and anesthesia type and is also higher in primary closure.Öğe Prevalence of enuresis nocturna among a group of primary school children living in Diyarbakir(Aves, 2013) Penbegül, Necmettin; Celik, Hilmi; Palanci, Yilmaz; Yildirim, Kadir; Atar, Murat; Hatipoglu, Namik Kemal; Bodakci, Mehmet NuriObjective: In this study, the prevalence of enuresis nocturna (EN) was investigated among primary school children living in Diyarbakir. Material and methods: Five primary schools in the center of Diyarbakir and a village primary school were selected randomly. Four thousand and five hundred self-administered questionnaires were distributed to parents; 4300 were returned, and 4203 of these questionnaires were included in this study. Results: Of the children participating in the study, 52.2% of them were boys and 47.8% of them were girls. The mean age of the children was 8.66 +/- 1.61 (6-15) years, and the mean number of siblings was 4.03 +/- 2.06 (0-13). The prevalence of nocturnal enuresis was determined to be 25.9% (1087) among 4203 children, and it was more common in boys than in girls (27.8 and 23.7%, respectively). The rate of a positive family history in the nocturnal enuresis, and nonenuretic groups were 64.8, and 35.2%, respectively. The average number of siblings in the enuretic, and nonenuretic groups were 4.49 +/- 2.65, and 3.87 +/- 2.57, respectively Socioeconomic level of the families of enuretic children was worse than that of nonenuretic children. Enuretic children had episodes of bedwetting (92.3%) during night hours or both day and night (8.7 %). The number of bed wetting incidents per week was 4.1 +/- 2.2. A minority (5.7%) of the families believed that the condition resolved without any treatment. Conclusion: Family history, a low socioeconomic level and an increased number of children were factors that increased the frequency of enuresis nocturna in our region.Öğe Prevalence of Epilepsy in the University Students Representing a Young Adult Population With Normal Intelligence(Kare Publ, 2014) Huseyinoglu, Nergiz; Palanci, Yilmaz; Gunes, Nurettin; Ozlece, Hatice KoseObjectives: Epilepsy is one of the most common neurological diseases and involves about 69 million patients worldwide. Especially in young adults, the social and private burden of epilepsy is high. The young adult population of Eastern Turkey has not been investigated with respect to the prevalence and risk factors of epilepsy. For these reasons we aimed to investigate the prevalence and some risk factors of active epilepsy in Kafkas University students as representatives the young adults of Eastern Turkey with normal intelligence. Methods: The sample size for our study of consisted of a minimum of 1135 students. A total of 2000 questionnaires were distributed among the students and 1829 were accepted for statistical analysis. 43 students were identified as possibly having epilepsy and invited for further investigation. As a result, 7 participants were determined to have active epilepsy. Results: The point prevalence of active defined epilepsy on December 30, 2010 was estimated to be 3.8/ 1000 for both sexes. The statistical analysis identified a history of febrile seizures and head trauma to be significant as risk factors for the development of epilepsy, while gender, family history of epilepsy, financial status, history of prematurity, cesarean or vaginal birth and parental consanguinity were not significant risk factors for epilepsy. Conclusion: We can conclude that the prevalence of epilepsy in young adults in the eastern region of Turkey is comparable to those in developed countries.Öğe Relationship between hepcidin levels and periodic limb movement disorder in patients with obstructive sleep apnea syndrome(Springer Heidelberg, 2015) Abakay, Ozlem; Abakay, Abdurrahman; Palanci, Yilmaz; Yuksel, Hatice; Sen, Hadice Selimoglu; Evliyaoglu, Osman; Tanrikulu, Abdullah CetinThis study was aimed to assess potential correlations between periodic leg movement (PLM) index, hepcidin levels, and iron status in patients with obstructive sleep apnea syndrome (OSAS). Forty-four newly diagnosed OSAS patients and 49 non-apneic controls were enrolled in this study. All patients underwent polysomnographic evaluation. The hepcidin, iron, ferritin, total iron binding capacity, and C-reactive protein levels were measured. The mean age was 47.4 +/- 7.2 years (18-68) in the OSAS group and 44.9 +/- 11.1 years (23-65) in the control group. There were no differences in age, gender, and smoking between OSAS patients and controls. Mean apnea-hypopnea index (AHI) was 25.1 events/h. Mean serum hepcidin levels were significantly higher in OSAS subjects (725.9 ng/ml) than in control subjects (646.0 ng/ml) (p < 0.001). Serum iron levels were significantly lower in the OSAS and PLM disorder groups than in control subjects (p < 0.001). Serum hepcidin levels were significantly correlated with AHI (r = 0.453) and PLM index (r = 0.114). Serum iron levels were significantly negatively correlated with AHI (r = -0.169) and PLM index (r = -0.180). In our study, the level of hepcidin was increased in patients with OSAS. Our study indicates that levels of hepcidin correlate with the AHI and PLM index severity of OSAS.Öğe The relationship between high incidence of deep neck infection and toothbrushing frequency(Academic Journals, 2012) Bakir, Salih; Gunay, Ahmet; Tanriverdi, Halis; Gun, Ramazan; Atilgan, Serhat; Palanci, Yilmaz; Ozbay, MusaThis study aimed to investigate and compare the frequency of toothbrushing and dental health status between deep neck space infection (DNSI) patients with dental origin and healthy population. 64 participants were included in this study in the form of two groups. The first group consisted of 34 DNSI patients with dental onset, and the second group consisted of 30 participants (control group). Study was carried out in two separate categories: the frequency of toothbrushing and assessment of dental health status. Toothbrushing frequency was evaluated with a questionnaire. Dental health status was assessed for periodontal and dental disease by periodontist according to the some widely used indicators; Decayed Missing Filled Teeth (DMFT) scores, Plaque Index score, Gingival Index score and Sulcus Bleeding Index score. Present study showed that the majority had brushed their teeth occasionally. In DNSI group, the percentage of never toothbrushing was very high and regular toothbrushing rate was so low. DNI group has higher scores than the control group and this indicates poor oral hygiene. Our results showed that, oral health was impaired and regular toothbrushing seems to have been neglected in DNSI group. In our opinion, this negligence is a very important contributory factor towards the more occurrence of deep neck abscess.Öğe The relationship between high incidence of deep neck infection and toothbrushing frequency(Academic Journals, 2012) Bakir, Salih; Gunay, Ahmet; Tanriverdi, Halis; Gun, Ramazan; Atilgan, Serhat; Palanci, Yilmaz; Ozbay, MusaThis study aimed to investigate and compare the frequency of toothbrushing and dental health status between Deep neck space infection (DNSI) patients with dental origin and healthy population. 64 participants were included in this study in the form of two groups. The first group consisted of 34 DNSI patients with dental onset, and the second group consisted of 30 participants (control group). Study was carried out in two separate categories: the frequency of toothbrushing and assessment of dental health status. Toothbrushing frequency was evaluated with a questionnaire. Dental health status was assessed for periodontal and dental disease by periodontist according to the some widely used indicators; DMFT scores, Plaque Index score, Gingival Index score and Sulcus Bleeding Index score. Present study showed that the majority had brushed their teeth occasionally. In DNSI group, the percentage of never toothbrushing was very high and regular toothbrushing rate was so low. DNI group has higher scores than the control group and this indicates poor oral hygiene. Our results showed that, oral health was impaired and regular toothbrushing seems to have been neglected in DNSI group. In our opinion, this negligence is a very important contributory factor towards the more occurrence of deep neck abscess.
